According to the 19th Annual Towers Watson/National Business Group on Health Employer Survey on Purchasing Value in Health Care, 18 percent of employers are planning to structure employee contributions based on employees taking speci­fic steps (e.g., completing health assessment, screening) in addition to the 23 percent that reward or penalize based on biometric outcomes other than smoker/tobacco-use status (e.g., achievement of weight control or target cholesterol levels).